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Biomedical subjects

G Caroli

Publications and source records attributed to G Caroli.

At least 19 recordsLinked to original sources
PubMed1997

Effects of ovary suppression by a long-acting GnRH-agonist on circulating GH, insulin-like growth factor I and insulin levels in women with polycystic ovary syndrome.

Our aim was to investigate the effect of GnRH-agonist (GnRH-a) induced suppression of plasma sex steroids on serum GH, insulin like growth factor-I (IGF-I) and insulin levels after an oral glucose load (OGTT) in women with polycystic ovary syndrome (PCOS). Serum insulin, GH and IGF-I levels during a 75-g 4-h OGTT were measured in 3 nonobese and 7 obese hyperandrogenic women with PCOS and normal glucose tolerance before and after 10 weeks of treatment with the GnRH-a triptorelin (3,75 mg im every 28 days). Basal estrogen and androgen levels were also measured at time 0 of the first and the second OGTT. After the therapy serum estrogens and androgens were significantly suppressed. Body weight remained unchanged. Basal GH significantly increased after the treatment while fasting IGF-I and insulin levels decreased from (mean +/- SE) 349.3 +/- 31.8 to 278.7 +/- 33.2 ng/mL and from 22.4 +/- 4.1 to 18.8 +/- 4.4 microU/mL, respectively. The insulin response to OGTT (area under curve) was also reduced (from 16,017 +/- 2598 to 11,736 +/- 2317 microU/mL/240 min). Our results suggest that the GnRH-a induced suppression of ovary secretion may modify the serum GH and IGF-I levels and the insulin response to an OGTT in women with PCOS.

Adolescent↗
PubMed1997

Effects of oral glucose administration on plasma growth hormone levels in women with polycystic ovary syndrome.

OBJECTIVE: To evaluate the sensitivity of GH secretion to the suppressive effect of oral glucose administration in women with polycystic ovary syndrome (PCOS). DESIGN: Comparison of the GH response to an oral glucose load in women with PCOS and in weight-matched normally menstruating women (controls). SETTING: Reproductive endocrinology unit. PATIENT(S): Eighteen obese and 11 nonobese patients and 10 obese and 10 nonobese controls. INTERVENTION(S): After an overnight fast, each woman underwent a 75-g, 3-hour oral glucose tolerance test (OGTT). MEAN OUTCOME MEASURE(S): Growth hormone, glucose, and insulin responses to OGTT. RESULT(S): No significant differences in the glycemic and insulinemic responses were found between the patients and the weight-matched controls. No decrease in plasma GH was observed in both obese and nonobese patients and in obese controls during the OGTT, whereas a significant GH decrease occurred in nonobese controls 60 and 120 minutes after glucose intake. CONCLUSION(S): Oral glucose administration was unable to suppress GH levels in nonobese as well as in obese women with PCOS and in obese control women. These data suggest that both PCOS and obesity are associated with a reduced sensitivity of GH secretion to glucose suppression.

Administration, Oral↗
PubMed1997

Mycobacterium malmoense in Italy: the modern Norman invasion?

The isolation of Mycobacterium malmoense has for a long time been restricted to few countries of Northern Europe; reports from countries other than Sweden, Great Britain and Finland are rare and the first Italian case report has been published in 1995. Since 1988, however, fifteen strains of M. malmoense have been isolated in Italy, eleven of which in the last two years; of these, ten appeared clinically significant on the basis of medical records. The susceptibility of the strains and the role of high performance liquid chromatography of cell wall mycolic acids for a reliable identification are discussed.

Adult↗
PubMed1996

Gonadotropin levels in women with polycystic ovary syndrome: their relationship to body weight and insulin levels.

The purpose of this work was to investigate the relationship of gonadotropin levels to body weight and insulin levels in woman with polycystic ovary syndrome (PCOS). Specifically, we wished to test the hypothesis that circulating luteinizing hormone (LH) and insulin levels are different in obese and normal weight patients with PCOS. The basal plasma levels of gonadotropins, estrogens, androgens and sex hormone-binding globulin, the gonadotropin responses to gonadotropin releasing hormone (GnRH) and the insulin and C-peptide responses to a 3-hour oral glucose tolerance test (OGTT) were measured in 19 obese and 19 normal weight patients with PCOS and 7 obese and 8 normal weight ovulatory controls. Data of the patients were evaluated according to body weight (obese vs normal weight) and basal LH (high vs normal). There was no significant difference in basal LH and androgen levels and in the insulin response to oral glucose between obese and normal weight patients with PCOS. Compared to the weight matched controls, both obese and non obese patients showed significantly higher LH responses to GnRH and C-peptide responses to OGTT. When the high LH patients (no = 18) were compared those with normal LH (no = 20), the high LH subjects exhibited significantly higher androstenedione levels. Both obese (no = 10) and normal weight (no = 8) patients with high LH showed significantly greater C-peptide responses to OGTT than obese (no = 9) and non obese (no = 11) patients with normal LH. However, as compared with the weight matched controls, both the high LH and normal LH patients had significantly greater C-peptide responses to OGTT. We conclude that obese and non obese patients with PCOS do not seem to differ in the prevalence of elevated LH levels or in the LH secretory pattern. Insulin resistance, expressed by an enhanced pancreatic sensitivity to oral glucose, is present in both the high LH and the normal LH subjects, even though the PCOS patients with elevated LH tend to be more insulin resistant and hyperandrogenic than the normal LH patients.

Adult↗
PubMed1988

Molecular study on Salmonella enteritidis strains from a nosocomial gastroenteritis outbreak.

A molecular epidemiological analysis was carried out on S. enteritidis isolates identified at the Central Italy Enterobacteriaceae Center during 1986. 26 of these were from a diarrhoeal disease outbreak, which occurred in the period April-June at the "S. Chiara" Hospital, Pisa. All S. enteritidis strains harboured a virulence-encoding 39 MDa plasmid. The nosocomial isolates made in June 1986 carried an additional non-conjugative plasmid of 75 MDa, associated with the streptomycin-resistance. In contrast, the nosocomial S. enteritidis strains isolated during the period April-May and 16 isolates from the same geographic area were susceptible to antibiotics and showed a different plasmid pattern. According to the plasmid profile and antibiotic resistance pattern analysis, it could be argued that the hospital cases of S. enteritidis infection occurring after May 1986 are attributable to a strain having different origin from the strain circulating in April-May 1986.

Cross Infection↗
PubMed1988

Bacterial species detected in some bottled mineral waters sold in Italy.

A total of 51 samples from 32 different kinds of mineral water were examined to investigate their microbial facies in view of a possible relationship with ionic composition. No difference was found between mineral and oligomineral waters. The genera most represented were Pseudomonas, Flavobacterium and Alcaligenes; only rarely could members of these genera be assigned precisely to a defined species, because many strains showed intermediate patterns. The authors suggest widening the microbiological examination of mineral waters and improving ecological and taxonomic knowledge of the autochthonous species in all processing phases in order to evaluate not only their compliance with the law, but also the variations imposed on microflora by different conditions related to container materials, time and temperature of storage.

Alcaligenes↗
PubMed1987

A molecular study of Salmonella strains identified from two food-poisoning outbreaks.

A molecular epidemiology study was carried out on Salmonella mbandaka and Salmonella corvallis strains identified from two food-poisoning outbreaks which occurred in August 1985 in Pistoia and in October 1985 in Sant'Ilario d'Enza (RE). All the Salmonella mbandaka strains were plasmid-free; all the epidemic Salmonella corvallis strains, in contrast to the non epidemic isolates, carried a small plasmid of approximately 2 MDa molecular weight. Restriction enzyme cleavage pattern analysis revealed that the plasmids of the epidemic strains were closely related.

DNA Restriction Enzymes↗
PubMed1985

Search for acid-fast bacilli in bottled mineral waters.

Samples of bottled mineral water sold in Italy in accordance with the law on microbiological standards were examined for the presence of acid-fast bacilli. Eighty-four samples were tested, 11 with added carbon dioxide and 73 without. Acid-fast bacilli were found in 1 of the former samples and in 8 of the latter, a total of 10.7%. The mycobacterial count was always very low (2-3 cfu/litre) except for one sample which showed large numbers of Mycobacterium sphagni. This finding was not confirmed in two following samplings of the same water. The other acid-fast bacilli isolated were: M. gordonae (four strains), M. flavescens (one strain), M. phlei (one strain) and Nocardia sp. (two strains) in two samples of different water. These bacilli are not thought to be a normal component of the waters but are the result of incidental contamination. The risk of infection from drinking such waters can be regarded as irrelevant in hospitalized or immunologically compromised subjects who fact a greater risk when using tap water for drinking or washing.

Carbon Dioxide↗
PubMed1979

[Research methods of R factors (author's transl)].

After having outlined the routine methods for the study of drug resistance plasmids used at highly specialized centres such as the London Enteric Reference Laboratory, the AA. examine the most practical methods of a pure and simple way of discovering R factors in enterobacteria. A brief reference is made to some of the in vivo transfer techniques before reducing the various possibilities of in vitro survey to essentials. The experimental conditions realized by some AA. for mating in liquid media which represent the most commonly used method for the study of R factors in enterobacteria are pointed out as an example. Finally, a brief reference is made to other technique such as the mating possibilities on membrane filter in solid media and "facilitated mating" in the cellophane device according to Chabbert.

Bacteriological Techniques↗
PubMed1979

[Drug resistance of Shigella strains isolated in Central Italy during 1969-1976 (author's transl)].

Only ninety-three strains of Shigella, eightyseven of which have been identified as S. sonnei and six as S. flexneri were collected during 1969-1976 at the Pathogen Enterobacteria Centre of Pisa in Central Italy, as evidence of an epidemiological situation marked by a rare occurrence of syndromes related to these organisms. The collected strains were tested with disks of nine antibacterial drugs in common use: the survey detected sensitivity of all the strains to cephaloridine, ampicillin, carbenicillin, kanamycin and gentamicin, whereas a fair percentage of resistance appeared to streptomycin, tetracycline, chloramphenicol and cotrimoxazole. Both within multiresistant strains and those characterized by single resistances (forty-three of them in all), were present strains capable of transferring different drug resistance patterns to E. coli K-12, as evidence of being under extrachromosomial genetic control.

Anti-Bacterial Agents↗
PubMed1979

["S. wien" and "S. bredeney" plasmidic resistance to disinfectant agents and antibiotics (author's transl)].

Several antiseptic and disinfectant compounds have been investigated for their minimal inhibitory concentration (MIC) against antibiotic multiresistant strains of S. wien and S. bredeney as well as S. typhi and S. typhimurium strains characterized by wide spectrum of antibiotic sensitivity. The MICs of AgNO3, merthiolate, NaN3, phenol, Zephiran and Desogen were not substantially different for the former and the latter strains; on the contrary, the HgCl2 minimal inhibitory concentration was significantly higher against S. wien and S. bredeney than against the other strains. The mercury resistance appeared plasmid controlled and transferable to E. coli K-12, always associated with antibiotic resistance. The findings, which confirm the results of other AA., seem unrestrictive of the use of HgCl2, because its not probable selective role in the hospital environment.

Anti-Infective Agents, Local↗
PubMed1978

[Recent acquisitions concerning pathogenic enterobacteria].

A subdivision of enterobacteria is made into classic pathogens and saprophytic species which become opportunistic agents of various syndromes. After a review of the epidemiological situation in Central Italy regarding salmonellosis and shigellosis, an analysis of the E. coli types involved in the enteritis syndromes is carried out. Other topics discussed in the article are the sistemic infections by Serratia, Kelbsiella, Enterobacter and Proteus strains; moreover the causative agents of urinary tract infections are reviewed. The role played in human pathology by all the enterobacteria allows to conclude that the work of the laboratorist would be closely cooperative with one of clinician in order to evaluate correctly the etio-epidemiological significance of the microbiological findings.

Animals↗
PubMed1977

[Presence and etio-epidemiological significance of halophilic vibriones in various material].

In this work data of isolation of halophilic vibrios from coastal water of central Tyrrhenian sea are reported, and the epidemiological significance of such strains is discussed. V. Parahaemolyticus was identified in 8 out of 20 samples of sea water. V. alginolyticus was identified in 8 out of 26 samples of fishes and mussels examined and in 8 out of 20 sea water samples. Halophilic vibrios had not been isolated from 12 samples of sewage water and from 27 healthy or pathological human stool samples. From 6 different samples (sewage water and human stools included) bacteriophages active against V. parahaemolyticus were isolated. This study demonstrates that in our geographical area V. parahaemolyticus is present. The pathogenicity of such strains cannot be demonstrated because of the lack of available experimental models in vitro and/or in vivo. It is also impossible to assume their etiological rôle in human pathology, due to the absence of specific epidemics or single cases in our country.

Animals↗